RACGP KFP type Comprehensive Questions with Verified Answers
Graded
Study online at A
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1. How do you determine if Malcolm, a 72 yo man with atrial
fibrillation, is at risk of stroke & whether or not anti-coagulation needs
to be considered?: CHA₂DS₂-VASc:
*if 2econsider anticoagulant
-Congestive Heart Failure +1
-HTN +1
- Age (65-74 = +1, e7 5 yrs old = +2)
-DM hx +1
-Sex (Female +1)
-Stroke/TIA/Thromboembolism +2
-VASCular Disease +1
2. Sandra has an irritating recurrent vaginal itch. What are your
differential dx?
(8): - candida infection
-bacterial vaginosis
-eczema/ psoriasis
-contact dermatitis (shaving, waxing, condoms)
-STIs (pubic lice, herpes)
-lichen sclerosis
-atrophic vaginitis
-rare = vulva cancers & VIN
3. What Ix would you perform on Sandra for recurrent vaginal itch?
(5): - blood glucose
-vulval & vaginal swabs (recent antifungal use may lead to a false -ve result)
-viral swabs if ? herpes
-high vaginal swab MCS if PV discharge
-biopsy if ? lichen sclerosis
4. Sandra is diagnosed with vulvovaginal candidiasis? What are your Rx
options?
(5): - cotton underwear, avoid tight fitting clothes
-avoid douches & perfumed soaps
-arrange eradication & then remission Rx
, RACGP KFP type Comprehensive Questions with Verified Answers
Graded
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*initial Rxhttps://quizlet.com/_ild2g8
= fluconazole 150 mg for 10-14 days
*maintenance = fluconazole 100mg wkly for 6 mths OR clotrimazole pessary 500mg wkly
for 6 mths (avoid ketoconazole b/c of risk of hepatitis)
, RACGP KFP type Comprehensive Questions with Verified Answers
Graded
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-consider short term steroid creams for itch
-also consider antihistamines
5. Henry asks you what lifestyle modifications may improve his
migraines. (4): - hydration; at least 8 glasses of water/day
-sleep hygiene; >8hrs/night, with consistent bedtimes/awakening
-exercise; 30-60mins aerobic exercise, >3x/wk
-meals; regular, nutritious meals, avoiding highly processed foods
6. You suspect Georgia has classical trigeminal neuralgia. What are
the dx criteria? (5): A. paroxysmal attacks of pain lasting secs-2 mins, attecting 1edivisions of
trigeminal nerve & B or C
B. pain that is intense, sharp, superficial or
stabbing OR precipitated by trigger area or
factors
C. attacks are stereotyped in the individual pt
D. there is no neurological deficit
E. not attributed to another disorder
7. Georgia is diagnosed with trigeminal neuralgia. What Rx is
recommended for this?: - Carbemazepine 100-200mg PO, either OD or BD
-can be gradually titrated up based on response
-periodically attempt to withdraw
* if not responding, refer to neurology
8. Freds' family are worried his memory is deteriorating. What are the
recom- mended initial investigations for suspected dementia? (8), then
(7) optional: - FBC
-ESR
-LFT
-Calcium
-TSH
-Vitamin B12
-Folate
-non contrast CT Brain
, RACGP KFP type Comprehensive Questions with Verified Answers
Graded
Study online at A
2nd Linehttps://quizlet.com/_ild2g8
Graded
Study online at A
https://quizlet.com/_ild2g8
1. How do you determine if Malcolm, a 72 yo man with atrial
fibrillation, is at risk of stroke & whether or not anti-coagulation needs
to be considered?: CHA₂DS₂-VASc:
*if 2econsider anticoagulant
-Congestive Heart Failure +1
-HTN +1
- Age (65-74 = +1, e7 5 yrs old = +2)
-DM hx +1
-Sex (Female +1)
-Stroke/TIA/Thromboembolism +2
-VASCular Disease +1
2. Sandra has an irritating recurrent vaginal itch. What are your
differential dx?
(8): - candida infection
-bacterial vaginosis
-eczema/ psoriasis
-contact dermatitis (shaving, waxing, condoms)
-STIs (pubic lice, herpes)
-lichen sclerosis
-atrophic vaginitis
-rare = vulva cancers & VIN
3. What Ix would you perform on Sandra for recurrent vaginal itch?
(5): - blood glucose
-vulval & vaginal swabs (recent antifungal use may lead to a false -ve result)
-viral swabs if ? herpes
-high vaginal swab MCS if PV discharge
-biopsy if ? lichen sclerosis
4. Sandra is diagnosed with vulvovaginal candidiasis? What are your Rx
options?
(5): - cotton underwear, avoid tight fitting clothes
-avoid douches & perfumed soaps
-arrange eradication & then remission Rx
, RACGP KFP type Comprehensive Questions with Verified Answers
Graded
Study online at A
*initial Rxhttps://quizlet.com/_ild2g8
= fluconazole 150 mg for 10-14 days
*maintenance = fluconazole 100mg wkly for 6 mths OR clotrimazole pessary 500mg wkly
for 6 mths (avoid ketoconazole b/c of risk of hepatitis)
, RACGP KFP type Comprehensive Questions with Verified Answers
Graded
Study online at A
https://quizlet.com/_ild2g8
-consider short term steroid creams for itch
-also consider antihistamines
5. Henry asks you what lifestyle modifications may improve his
migraines. (4): - hydration; at least 8 glasses of water/day
-sleep hygiene; >8hrs/night, with consistent bedtimes/awakening
-exercise; 30-60mins aerobic exercise, >3x/wk
-meals; regular, nutritious meals, avoiding highly processed foods
6. You suspect Georgia has classical trigeminal neuralgia. What are
the dx criteria? (5): A. paroxysmal attacks of pain lasting secs-2 mins, attecting 1edivisions of
trigeminal nerve & B or C
B. pain that is intense, sharp, superficial or
stabbing OR precipitated by trigger area or
factors
C. attacks are stereotyped in the individual pt
D. there is no neurological deficit
E. not attributed to another disorder
7. Georgia is diagnosed with trigeminal neuralgia. What Rx is
recommended for this?: - Carbemazepine 100-200mg PO, either OD or BD
-can be gradually titrated up based on response
-periodically attempt to withdraw
* if not responding, refer to neurology
8. Freds' family are worried his memory is deteriorating. What are the
recom- mended initial investigations for suspected dementia? (8), then
(7) optional: - FBC
-ESR
-LFT
-Calcium
-TSH
-Vitamin B12
-Folate
-non contrast CT Brain
, RACGP KFP type Comprehensive Questions with Verified Answers
Graded
Study online at A
2nd Linehttps://quizlet.com/_ild2g8
